Delayed migration of a screw into the gastrointestinal tract after anterior cervical spine plating

Spine
Roberto GazzeriGiovanni Gazzeri

Abstract

Case report and clinical discussion. To describe a rare case of spinal cervical screw migration into the gastrointestinal tract 11 years after surgery. Anterior cervical spine fusion and stabilization with plating is a well-established procedure for cervical myelopathy, cervical spinal trauma, and spinal infectious disease. Esophageal injury has been related to screw or plate extrusion. We present a 45-year-old white man suffering from severe quadriparesis and neck pain. Cervical spine magnetic resonance images showed spondylodiscitis and spinal fracture of C4 and C5 vertebral bodies. He underwent anterior surgical decompression consisting of C4 and C5 corpectomies and fusion with fibular allograft fixated with a cervical plate. The patient's neurologic examination gradually improved during his follow-up. The patient returned 11 years after cervical spine graft and plating, complaining of severe dysphagia and high fever. Radiographs of the cervical spine showed a screw back-out. Three days later, a new radiograph of the cervical spine revealed a progression of the screw's extrusion. In a new cervical spine radiograph, obtained immediately before surgical intervention, the displaced screw was no more visible. Abdominal radiograp...Continue Reading

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Citations

Jan 22, 2010·Dysphagia·Yuo-Chen Kuo, Marc S Levine
Jul 11, 2013·Case Reports in Otolaryngology·G SalisC Bozzo
Feb 5, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ferhat HarmanAskin Esen Hasturk
Oct 18, 2011·The Spine Journal : Official Journal of the North American Spine Society·Darren R LeblKirkham B Wood
Oct 18, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Robert G WhitmoreWilliam C Welch
Oct 5, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yoshitaka HiranoKazuo Watanabe
Nov 11, 2015·The Spine Journal : Official Journal of the North American Spine Society·Cheng-Che HungDer-Yang Cho
Apr 16, 2016·Journal of Neurosurgery. Spine·Sameer H HalaniFaiz U Ahmad
Feb 5, 2013·Annals of Physical and Rehabilitation Medicine·S BellaicheG Rode
Jan 8, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hisanori IkumaYoshiki Yokoyama
Dec 20, 2008·Journal of Korean Neurosurgical Society·Jin Soo LeeJong Woo Han
Apr 10, 2010·Journal of Korean Neurosurgical Society·Hyoung-Joon ChunHyeong-Joong Yi
Jun 5, 2019·Clinical Spine Surgery : a Spine Publication·Sehan ParkChoon Sung Lee
Dec 23, 2014·Ear, Nose, & Throat Journal·Christopher Chase Surek, Douglas A Girod
Apr 30, 2017·Global Spine Journal·George M GhobrialK Daniel Riew
May 21, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M ScholzF Kandziora
Feb 1, 2013·Thoracic Cancer·Juan Ramón Hernández HernándezValentín Núñez Jorge
Aug 30, 2018·Digestive Diseases and Sciences·Nathan S Ramrakhiani, George Triadafilopoulos
Feb 27, 2021·Yonsei Medical Journal·Kwang Ryeol KimSung Uk Kuh
May 20, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Luca RicciardiNicola Montano

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